Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.92 / $26.92	Facility		$15.14	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $30.90	Professional		$15.14	$22.91	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $24.55 / $39.81	Professional		$12.88	$24.55	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $100.00	Professional		$37.15	$57.54	$100.00
Select Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $37.15 / $37.15	Professional		$36.31	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.14 / $24.55	Professional		$14.45	$15.14	$24.55